中央区淋巴结清扫在甲状腺乳头状癌手术中的价值

The value of central lymph node dissection in surgical treatment of papillary thyroid carcinoma

目的:探讨中央区淋巴结清扫在甲状腺乳头状癌处理中的作用。方法:收集我院2011-2012收治的136例甲状腺乳头状癌患者,所有患者在切除原发灶的同时均进行同侧中央区淋巴结清扫,临床颈侧区淋巴结转移的患者行颈侧区功能性淋巴结清扫术。结果:136例患者中央区淋巴结阳性率为56.6%(77/136),其中临床淋巴结阴性(cN0)患者,中央区淋巴结阳性率为47.5%(48/101),临床淋巴结阳性(cN1)患者,中央区淋巴结阳性率为82.9%(29/35),差异具有统计学意义。结论:在没有增加手术风险的情况下,切除甲状腺癌原发灶的同时应该行同侧中央区淋巴结清扫。

Objective：To discuss the role of the central lymph node dissection in the treatment of papillary thy- roid carcinoma. Method：Collect 136 patients who underwent thyroidectomy with papillary thyroid carcinoma in our hospital in 2011- 20]2, all are conducted with lymph node dissection in the central area as well as resection of pri- mary lesion. Functionl lateral neck lymph node dissection were used for patients with clinical lateral neck lymph node metastasis. Result： In 136 patients, 56.6 % （77/136） of the central lymph node metastasis were detected. Posi- tive rate was 47.5% in 101 cN0 patients and 82.9 % in 35 cN1 patients. Conclusion：In the case of not increasing risk of surgery, resection of thyroid cancer primary lesion the central lymph node at the same time is a surgical procedure to be recommended.